| Functional evaluation of distal esophagus and lower esophageal sphincter after esophagogastric devascularization, esophageal transection and antireflux procedure for bleeding esophageal varices. | |
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MedLine Citation:
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PMID: 6611325 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Distal esophageal function and LES competence were evaluated in 21 patients by means of esophageal manometry and standard pHmetry after Sujura mod. operation for bleeding esophageal varices. This operation involves complete devascularization of 10-12 cm. of distal esophagus, disruption of anatomic anti-reflux mechanism, excision of nearly one cm. of muscular tissue at lower esophageal sphincter level. Intraoperative manometry was performed in 8 patients and demonstrated a significant shortening of high pressure zone, while lower esophageal sphincter pressure did not show significant variations. Postoperatively gastroesophageal reflux at pHmetry was not observed (five patients had pathological reflux preoperatively). No significant variations of resting lower esophageal sphincter pressure and no peristaltic alterations were observed. In conclusion despite the marked anatomic alterations related to this procedure, sphincter dynamics and distal esophageal function remain nearly normal. |
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Authors:
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E Ancona; G Zaninotto; A Nosadini; G Battaglia; P Rigotti; D Scibetta; P Sorrentino |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Italian journal of surgical sciences / sponsored by Società italiana di chirurgia Volume: 14 ISSN: 0392-3525 ISO Abbreviation: Ital J Surg Sci Publication Date: 1984 |
Date Detail:
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Created Date: 1984-09-18 Completed Date: 1984-09-18 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8213451 Medline TA: Ital J Surg Sci Country: ITALY |
Other Details:
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Languages: eng Pagination: 25-9 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Esophageal and Gastric Varices / physiopathology*, surgery Esophagogastric Junction / physiopathology*, surgery Esophagus / blood supply, physiopathology*, surgery Female Gastroesophageal Reflux / prevention & control* Gastrointestinal Hemorrhage / physiopathology, surgery Humans Hydrogen-Ion Concentration Intraoperative Period Male Manometry Middle Aged Peristalsis Postoperative Period |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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